MARY JOHANNA CLARK

LA CROSSE, WI
NPI1912917949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  81803)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CO  29800)
Enumeration Date2006-08-09
Last Update Date2025-10-16
Business Address
Dr. MARY JOHANNA CLARK DO
700 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
Mailing Address
Dr. MARY JOHANNA CLARK DO
PO BOX 860912
MINNEAPOLIS, MN 55486-0912
Phone number: 608-785-0940